1. Creating an Interoperable Learning Health System for a Healthy Nation Jon White, M.D. Acting Deputy National Coordinator Office of the National Coordinator for Health IT March 23, 2015

2. ONC: 10 Years of Service to the Country 1

3. Overview of Federal Health IT Strategic Plan 2015-2020 2 http://www.healthit.gov/policy-researchers-implementers/health-it-strategic-planning

4. Federal Health IT Strategic Direction 3 The Federal Health IT Strategic Plan aims to:  Move beyond health care to improve health  Advance health IT beyond EHRs  Use and coordinate policy & incentive levers beyond Meaningful Use  Serve as an operational tool to manage federal activity and collaboration through Plan implementation and continual assessments

5. Strategy Development Federal Health IT Strategy Federal Health IT Advisory Council Health IT Strategy and Innovation Workgroup (HIT Policy Committee) Stakeholder Engagement, Public Comments, and Select Collaborative Planning Initiatives 4

6. Federal Health IT Strategic Direction Expand Adoption of Health IT Collect Advance Secure and Interoperable Health Information Share Strengthen Health Care Delivery Advance the Health and Well-Being of Individuals and Communities Advance Research, Scientific Knowledge, and Innovation Use 5

7. Federal Health IT Strategic Plan NEXT STEPS Public Comment Period  60-Day public comment period ended February 6, 2015  HIT Policy Committee provides feedback to ONC: February/March 2015  Final Plan will be published in Summer 2015 Implementation Planning  Federal Partners will convene for Plan Implementation, review public comments, and determine specific outcome metrics in Winter 2015 6

8. Overview of A Shared Nationwide Interoperability Roadmap Draft 7 http://www.healthit.gov/policy-researchers-implementers/interoperability

9. 8 Three Critical Pathways: 1)Requiring Standards 2)Motivating the use of those standards through appropriate incentives 3)Creating a trusted environment for the collecting, sharing, and using of electronic health information

10. The Federal Health IT Strategic Plan & the Interoperability Vision for the Future 9 Nationwide Interoperability Roadmap Federal Health IT Strategic Plan Goals

11. Interoperability’s Strategic Direction The Shared Nationwide Interoperability Roadmap:  Incorporates the input from a wide variety of stakeholders in support of federal and private sector efforts toward better health for all  Guides this work through five actionable building blocks: 10

12. A Learning Health System 11

13. Principle-based Interoperability 12

14. 13

15. 14 Tracking Progress and Measuring Success

16. Public Comment Period  60-Day public comment period ends April 3, 2015  HIT Policy Committee provides feedback to ONC: April/May 2015  Final Plan will be published in Fall 2015 Implementation Planning  Federal Partners will convene for Plan Implementation, review public comments, and determine specific outcome metrics in Winter 2015 15 DRAFT Shared Roadmap - Version 1.0 NEXT STEPS

17. Overview of Notices of Proposed Rulemaking 16

18. Medicare and Medicaid EHR Incentive Programs NPRM 17 Highlights: Establishing a single, aligned reporting period for all providers based on the calendar year; Allowing providers the option to start Stage 3 of meaningful use in either 2017 or 2018 (required in 2018), which gives providers an extra year to start than under current regulation; Simplifying meaningful use objectives and measures and reporting requirements by allowing flexible measures under health information exchange, consumer engagement, and public health reporting that would fit their own patient population or practice; Reducing the overall number of objectives to eight to focus on advanced use of EHRs; Removing measures that are redundant or received wide-spread adoption; and Aligning clinical quality measure reporting with other CMS programs.

19. 2015 Certification Program NPRM 18 Highlights: Enable a more flexible certification program that supports developer innovation and focuses on interoperability; Adopt new and updated vocabulary and content standards; Facilitate the accessibility and exchange of electronic health information by including enhanced data portability, transitions of care, and application programming interface (API) capabilities; Continue to make the privacy and security of data a priority; Improve patient safety; and Increase the reliability and transparency of certified health IT through surveillance and disclosure requirements.

20. The Star and Swoosh, Putting the I in Health IT, the Putting the I in Health IT composite logo, HealthIT.gov, the HealthIT.gov composition logo, HealthITBuzz, and the HealthITBuzz composite logo are service marks or registered service marks of the U.S. Department of Health and Human Services. Office of the National Coordinator for Health Information Technology Stay Connected, Communicate, and Collaborate Browse the ONC website at: HealthIT.gov HealthIT.gov click the “Like” button to add us to your network Signup for email updates: public.govdelivery.com/accounts/USHHSONC/subscriber/new? public.govdelivery.com/accounts/USHHSONC/subscriber/new? Visit the Health IT Dashboard: dashboard.healthit.gov dashboard.healthit.gov Request a speaker at: healthit.gov/requestspeaker healthit.gov/requestspeaker Subscribe, watch, and share: Contact us at: onc.request@hhs.gov onc.request@hhs.gov  @ONC_HealthITONC_HealthIT  HHSONC  HHS Office of the National Coordinator  Health IT and Electronic Health Record 19

21. Thank You!